Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $1,698.24 / $5,011.87	Facility		$138.04	$1,698.24	$5,011.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $134.90 / $275.42	Professional		$60.26	$134.90	$275.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $60.26	Professional		$54.95	$54.95	$60.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $3,467.37 / $4,466.84	Facility		$1,513.56	$3,467.37	$4,466.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $75.86 / $134.90	Professional		$54.95	$75.86	$134.90
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $77.62 / $125.89 / $181.97	Professional	50	$77.62	$125.89	$181.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $501.19 / $501.19	Facility		$501.19	$501.19	$501.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $131.83 / $239.88	Professional		$66.07	$131.83	$239.88
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.35 / $144.54 / $426.58	Professional		$1.35	$144.54	$426.58
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $281.84 / $758.58	Professional		$91.20	$281.84	$758.58
Select Health Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $186.21 / $831.76	Professional		$60.26	$186.21	$831.76
United Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $1,905.46 / $4,786.30	Facility		$407.38	$1,905.46	$4,786.30
United Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $120.23 / $239.88	Professional		$63.10	$120.23	$239.88